X-133753688-C-T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_004484.4(GPC3):​c.826G>A​(p.Gly276Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00016 in 1,209,642 control chromosomes in the GnomAD database, including 1 homozygotes. There are 41 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G276C) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00073 ( 0 hom., 20 hem., cov: 22)
Exomes 𝑓: 0.00010 ( 1 hom. 21 hem. )

Consequence

GPC3
NM_004484.4 missense

Scores

2
10
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:6O:1

Conservation

PhyloP100: 3.10

Publications

12 publications found
Variant links:
Genes affected
GPC3 (HGNC:4451): (glypican 3) Cell surface heparan sulfate proteoglycans are composed of a membrane-associated protein core substituted with a variable number of heparan sulfate chains. Members of the glypican-related integral membrane proteoglycan family (GRIPS) contain a core protein anchored to the cytoplasmic membrane via a glycosyl phosphatidylinositol linkage. These proteins may play a role in the control of cell division and growth regulation. The protein encoded by this gene can bind to and inhibit the dipeptidyl peptidase activity of CD26, and it can induce apoptosis in certain cell types. Deletion mutations in this gene are associated with Simpson-Golabi-Behmel syndrome, also known as Simpson dysmorphia syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
GPC3 Gene-Disease associations (from GenCC):
  • Simpson-Golabi-Behmel syndrome
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • Simpson-Golabi-Behmel syndrome type 1
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.036491454).
BP6
Variant X-133753688-C-T is Benign according to our data. Variant chrX-133753688-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 95100.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000731 (82/112129) while in subpopulation AFR AF = 0.00239 (74/30901). AF 95% confidence interval is 0.00196. There are 0 homozygotes in GnomAd4. There are 20 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 20 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GPC3NM_004484.4 linkc.826G>A p.Gly276Ser missense_variant Exon 3 of 8 ENST00000370818.8 NP_004475.1 P51654-1Q53H15I6QTG3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GPC3ENST00000370818.8 linkc.826G>A p.Gly276Ser missense_variant Exon 3 of 8 1 NM_004484.4 ENSP00000359854.3 P51654-1

Frequencies

GnomAD3 genomes
AF:
0.000732
AC:
82
AN:
112075
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00240
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000474
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000373
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00132
GnomAD2 exomes
AF:
0.000246
AC:
45
AN:
183233
AF XY:
0.000162
show subpopulations
Gnomad AFR exome
AF:
0.00243
Gnomad AMR exome
AF:
0.000328
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000722
Gnomad FIN exome
AF:
0.0000625
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000443
GnomAD4 exome
AF:
0.000102
AC:
112
AN:
1097513
Hom.:
1
Cov.:
33
AF XY:
0.0000579
AC XY:
21
AN XY:
362883
show subpopulations
African (AFR)
AF:
0.00307
AC:
81
AN:
26384
American (AMR)
AF:
0.000398
AC:
14
AN:
35205
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19379
East Asian (EAS)
AF:
0.0000993
AC:
3
AN:
30204
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54127
European-Finnish (FIN)
AF:
0.0000247
AC:
1
AN:
40530
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4136
European-Non Finnish (NFE)
AF:
0.00000238
AC:
2
AN:
841479
Other (OTH)
AF:
0.000239
AC:
11
AN:
46069
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
8
16
23
31
39
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000731
AC:
82
AN:
112129
Hom.:
0
Cov.:
22
AF XY:
0.000583
AC XY:
20
AN XY:
34313
show subpopulations
African (AFR)
AF:
0.00239
AC:
74
AN:
30901
American (AMR)
AF:
0.000473
AC:
5
AN:
10564
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2651
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3566
South Asian (SAS)
AF:
0.000374
AC:
1
AN:
2677
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6110
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53221
Other (OTH)
AF:
0.00130
AC:
2
AN:
1534
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000271
Hom.:
15
Bravo
AF:
0.00105
ESP6500AA
AF:
0.00209
AC:
8
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000239
AC:
29

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:6Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
May 04, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 19, 2013
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

GPC3: BS2 -

Sep 25, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 24728327) -

Inborn genetic diseases Benign:1
Dec 07, 2018
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Hereditary cancer-predisposing syndrome Benign:1
Feb 19, 2022
Sema4, Sema4
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Wilms tumor 1 Benign:1
Dec 07, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Other:1
Sep 19, 2013
ITMI
Significance:not provided
Review Status:no classification provided
Collection Method:reference population

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Uncertain
0.0
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.55
D;.;.
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.88
D;D;D
M_CAP
Pathogenic
0.49
D
MetaRNN
Benign
0.036
T;T;T
MetaSVM
Benign
-0.43
T
MutationAssessor
Uncertain
2.5
M;M;.
PhyloP100
3.1
PrimateAI
Uncertain
0.61
T
PROVEAN
Pathogenic
-5.2
D;D;.
REVEL
Uncertain
0.36
Sift
Uncertain
0.0050
D;D;.
Sift4G
Uncertain
0.020
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.17
MVP
0.84
MPC
0.60
ClinPred
0.11
T
GERP RS
6.0
PromoterAI
-0.0039
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.69
gMVP
0.71
Mutation Taster
=93/7
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs141100113; hg19: chrX-132887715; COSMIC: COSV63664668; API